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General NPI Number Information
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NPI Number | 1972313807
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Entity Type | Organization
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Legal Business Name | RHIANA ROQUE, MD PC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1055 E COLORADO BLVD STE 500
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City | PASADENA
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State | CA
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Zip | 91106-2371
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Country | US
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Telephone | 626-314-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 556 S FAIR OAKS AVE STE 101-458
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City | PASADENA
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State | CA
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Zip | 91105-2656
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | RHIANA ROQUE
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Credential | MD
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Telephone | 626-314-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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